# COLONDDS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760721153
- **Authorized official:** DR. DAGMAR E. COLON DDS (DENTIST)
- **Authorized official phone:** (812) 288-4691

## Contact information

- **Practice address:** 409 W 6TH ST, JEFFERSONVILLE, IN 47130-3507
- **Practice address phone:** (812) 288-4691
- **Practice address fax:** (812) 288-7178
- **Mailing address:** 409 W 6TH ST, JEFFERSONVILLE, IN 47130-3507
- **Mailing address phone:** (812) 288-4691
- **Mailing address fax:** (812) 288-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009554 | IN | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 02/06/2013